netFormulary NHS
Milton Keynes Formulary
Milton Keynes University Hospital NHS Foundation Trust
Milton Keynes Clinical Commissioning Group
Milton Keynes Community Health Services
 Search
 Formulary Chapter 9: Nutrition and blood - Full Chapter
09.06.04  Expand sub section  Vitamin D
 note 

Vitamin D preparations and analogues

 

Vitamin D deficiency in ADULTS

Vitamin D deficiency in CHILDREN

Vitamin D for AT RISK GROUPS

Vitamin D letter

Vitamin D deficiency in PREGNANCY

 

Treatment of vitamin D deficiency in pregnancy

  • In line with the guidance from Royal College of Obstetricians and Gynaecologists, MKPAG recommends a treatment dose of Fultium D3 20,000 units per week for 4 to 6 weeks, followed by a maintenance dose of InVita D3 800 units daily.
  • The maintenance therapy should be continued throughout the pregnancy.
  • Also in line with the Royal College of Obstetricians and Gynaecologists Guidance, treatment doses should not be given in the first trimester.

 

Vitamin D insufficiency in pregnancy

  • In line with the guidance from Royal College of Obstetricians and Gynaecologists, MKPAG recommends a dose of up to 2000 units daily. This can be prescribed as one or two Invita D3 800 units daily and should be continued throughout the pregnancy.
  • For supplementation in pregnancy, MKPAG recommends either Healthy Start vitamins if the woman is eligible or self purchase over-the-counter. These products should not be recommended or supplied as prescribed medication.

 

Vitamin D preparations with Calcium

 

Before calcium supplements are initiated, dietary calcium should be optimised. Below are two links from the National Osteoperosis Foundation with information on this:

 

Alfacalcidol (One-Alpha)
View adult BNF View SPC online View childrens BNF
Formulary
Amber 2
  • Capsules 250 nanograms, 500 nanograms, 1 microgram
  • Oral drops 2 microgram in 1mL
  • Injection 2 micrograms 1mL (1mL ampoules)
 
   
Calcitriol
View adult BNF View SPC online View childrens BNF
Formulary
Amber 2
  • Capsules 250 nanograms, 500 nanograms
  • Injection 1 microgram in 1mL, 2 micrograms in 1mL 
 
   
Calcium Carbonate with Colecalciferol (Accrete D3)
View adult BNF View SPC online View childrens BNF
Formulary
Green
  • Film-coated tablets, each containing 600mg calcium (1.5g of calcium carbonate) and 400 units of colecalciferol (as vitamin D3)
  • Chewablet tablets ('One a Day'), each containing 1000mg calcium (2.5g of calcium carbonate) and 880 units of colecalciferol (as vitamin D3)
 
   
Calcium Carbonate with Colecalciferol (Adcal D3)
View adult BNF View SPC online View childrens BNF
Formulary
Green
  • Chewable tablets containing 600mg calcium and 400 units of vitamin D (as vitamin D3)
  • Caplets containing 300mg Calcium and 200 units of vitamin D (as vitamin D3)
  • Dissolve, effervescent tablets containing 600mg calcium and 400 units of vitamin D (as vitamin D3)
 
   
Calcium Carbonate with Colecalciferol (Calcichew D3 500mg/400units Caplets)
View adult BNF View SPC online View childrens BNF
Formulary
Green
  • Tablets containing 500mg calcium and 400 units of vitamin D (as vitamin D3)
 
   
Calcium Carbonate with Colecalciferol (Calcichew D3 Forte)
View adult BNF View SPC online View childrens BNF
Formulary
Green
  • Chewable tablets containing 500mg calcium and 400 units of vitamin D (as vitamin D3)
 
   
Colecalciferol (Desunin)
(Tablets)
View adult BNF View SPC online View childrens BNF
Formulary
Green

Tablet 800 units of colecalciferol

 
   
Colecalciferol (Invita D3)
View adult BNF View SPC online View childrens BNF
Formulary
Green
  • 800 unit capsules containing colecalciferol 
  • 5,600 unit capsules containing colecalciferol (This strength allows weekly dosing)
  • 50,000 unit capsules containing colecalciferol 
  • 25,000 units/mL oral solution 
  • 50,000 units/mL oral solution 
  • 2,400 units/mL oral drops, solution

Note:  May be mixed with a small amount of cold or lukewarm food immediately before administration.

 
   
Colecalciferol 20,000 unit capsules (Fultium D3)
View adult BNF View SPC online View childrens BNF
Formulary
Green

Capsules containing 20,000 unit (= 500 micrograms Vitamin D)

 
   
Ergocalciferol
(Injection (Vitamin D2))
View adult BNF View SPC online View childrens BNF
Formulary
Red

Injection 300,000 units in 1mL

 
   
Colecalciferol 3,000 units per ml liquid
(vitamin D3)
View adult BNF View SPC online View childrens BNF
Unlicensed Drug Unlicensed
Red

Liquid 3,000 units in 1mL

 
   
 ....
 Non Formulary Items
Colecalciferol with calcium phosphate  (Calfovit D3)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Calcitriol  (Calcijex®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Calcitriol  (Rocaltrol®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Calcium and Ergocalciferol

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Calcium Carbonate with Colecalciferol  (Calceos)

View adult BNF View SPC online View childrens BNF
Non Formulary

Chewable tablets containing 500mg calcium and 400 units of vitamin D (as vitamin D3)

 
Colecalciferol
(With alendronic acid )

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Colecalciferol 1,000 units  (Sunvit D3)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Colecalciferol 10,000units/ml drops  (Thorens)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Dihydrotachysterol  (AT 10®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Ergocalciferol
(Oral)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Paricalcitol  (Zemplar)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
  
Key
note Notes
Section Title Section Title (top level)
Section Title Section Title (sub level)
First Choice Item First Choice item
Non Formulary Item Non Formulary section
Restricted Drug
Restricted Drug
Unlicensed Drug
Unlicensed
Track Changes
Display tracking information
click to search medicines.org.uk
Link to adult BNF
click to search medicines.org.uk
Link to children's BNF
click to search medicines.org.uk
Link to SPCs
SMC
Scottish Medicines Consortium
Cytotoxic Drug
Cytotoxic Drug
CD
Controlled Drug
High Cost Medicine
High Cost Medicine
Cancer Drugs Fund
Cancer Drugs Fund
NHSE
NHS England
Homecare
Homecare
CCG
CCG

Traffic Light Status Information

Status Description

Green

Routine prescribing within licensed indication  

Amber 1

Specialist recommendation followed by GP initiation and continuation  

Amber 2

Specialist or GP initiation in line with local guideline after 1st line failure followed by GP continuation   

Amber 3

Specialist initiation and stabilisation followed by GP continuation  

Amber SCG

Specialist initiation and stabilisation followed by GP continuation in line with an agreed shared care guideline  

Red

Hospital or specialist prescribing only  

Red Red

These medicines have been evaluated and rejected by MKPAG and are NOT approved for use within MK. They are not recommended for use because of lack of clinical effectiveness, cost effectiveness or safety.  

netFormulary